Provider Demographics
NPI:1972866044
Name:URRIAGO-NEIRA, SILVIA Y (B,O)
Entity Type:Individual
Prefix:MRS
First Name:SILVIA
Middle Name:Y
Last Name:URRIAGO-NEIRA
Suffix:
Gender:F
Credentials:B,O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22W324 JUNIPER DR
Mailing Address - Street 2:
Mailing Address - City:MEDINAH
Mailing Address - State:IL
Mailing Address - Zip Code:60157-9646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22W324 JUNIPER DR
Practice Address - Street 2:
Practice Address - City:MEDINAH
Practice Address - State:IL
Practice Address - Zip Code:60157
Practice Address - Country:US
Practice Address - Phone:847-884-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health